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ATLEE RAIDERS CHEER Camp 2015
Rising 1 st -8 th graders
REGISTRATION & APPAREL: Sign up for ALL
Session I: June 23
Session II: June 24
Session III: June 25
2:00 – 4:00 PM
three sessions by June 8 th and receive a FREE
Camp T-Shirt.
Registrations received June 9 or later can be purchased for $10. Late
registrations and Walk-Ins are welcome, apparel can be ordered.
Cheer Bow ($8) and Pom Poms ($7) are also available for purchase,
must be ordered by June 12th.
Mini Campers: Rising 1st-2nd grade
Youth Campers: Rising 3rd-5th grade
Junior Clinic: Rising 6th-8th grade
QUESTIONS: Anne Melton, AHS Head Cheer Coach
804-723-2139 or abmelton@hcps.us
Atlee High School
9414 Atlee Station Road
DEADLINE: must be received by June 17 th . Mail
Follow camp signs to drop off
Interested in cheering? Already cheer and want to improve your skills?
Preparing for middle school Try Outs? AHS Cheer Clinic is the place for
YOU! Cheering fundamentals taught by AHS Cheer Coaches and
Cheerleaders: Motions, Jumps, Projection, Choreography & Stunting.
Learn and Cheer, Chant, and Dance.
or drop off completed Registration/Medical
Release and Check payable to “AHS CHEER
BOOSTERS”:
c/o Dana Whittaker
9615 Cavalin Court
Mechanicsville, VA 23116
**AHS Cheer Clinic is NOT affiliated with CMS Cheer Try Outs**
COST: $20/session OR $55 for all three
REGISTRATION (circle) Session I
II III ALL
Registration questions: whittaker_dana@yahoo.com
T-SHIRT SIZE (circle) Youth: S
M L XL
Adult: S M
Cheerleader Name: _____________________________________________ Age: ______________ Grade for 2015-2016: ______________
Address: ________________________________________________________________________________________
Session Cost: ____________ + T-shirt (circle size): ______________ + Cheer Bow: _________ + Poms: __________ = TOTAL COST: $ ______________
MEDICAL RELEASE I certify that the named Cheerleader _______________________ is physically fit for conditioning and other related activities and
has my permission to participate in the camp program. In case of an emergency, I understand that every attempt will be made to contact me. If
contact is unsuccessful, I authorize the Atlee Cheer Camp Staff to perform immediate medical care, which includes but is not limited to the referral
of the appropriate health care professionals, for any injury/illness that may occur while my child is participating in camp activities. Any expense
incurred from such injury is the responsibility of the person signing below. I authorize the Atlee Cheer Camp Staff to provide any care or medical
treatment as deemed necessary to my minor daughter/son. Please list below any medications currently being taken or any allergies and/or medical
conditions
that
might
restrict
this
individual
from
participating
in
any
camp
activities:
________________________________________________________________________.
I understand that the Atlee Cheerleading Camp does not provide medical insurance and that my daughter/son is insured on a
medical policy with:
Insurance Co. Name: _______________________________________ Policy #: ________________________ Group #: ____________________________
PARENT SIGNATURE: _____________________________________________________________ DATE: _____________________